Individual provider Active NPI

Zachary Tyler Tollett

  • Pharmacist
  • Nashville, AR
National Provider Identifier
1063147676
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD15788 Issued in AR
Practice address
330 S Main St
Nashville, AR 71852-2410
Phone
(870) 912-0858
NPI assigned
Jul 18, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD15788 AR Primary

Addresses

Primary practice location

330 S Main St
Nashville, AR 71852-2410

Mailing address

330 S Main St
Nashville, AR 71852-2410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PD15788ARMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nashville Family Pharmacy LLC CurrentSince Jul 24, 2022 Accepting new patients
Nashville Family Pharmacy LLC CurrentSince Sep 17, 2023 Accepting new patients

Locations

330 S Main St
Nashville, AR 71852
Phone (870) 912-0858

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1063147676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S MAIN ST",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718522410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S MAIN ST",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718522410",
            "telephone_number": "870-912-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLETT",
        "first_name": "ZACHARY",
        "middle_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD15788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.